Even though Medicare plans sanctioned
by the Centers for Medicare and Medicaid Services (CMS) are not allowed to accept new enrollment, Q1Medicare®
shows “sanctioned” Medicare plans within the Medicare Part D Plan Finder (PDP-Finder.com
) and Medicare Advantage Plan Finder (MA-Finder.com
) so current plan Members can still find plan coverage information.
As an example, in September 2020, CMS sanctioned
the Idaho Medicare Advantage plan “Secure Blue no Rx (PPO) - H1302-004-0 and prohibited the Medicare Advantage plan from accepting plan enrollments "beginning January 1, 2021, through December 1, 2021". However, current plan members were not affected by the CMS sanctions
and were allowed to remain with the Medicare plan into 2021 - and still would need information about their 2021 Medicare plan coverage.
To provide information about this example 2021 Medicare plan, we displayed the “Secure Blue no Rx (PPO) - H1302-004-0” within our Medicare Advantage Plan Finder marked with a dark red rectangle and the text “Sanctioned Plan” (see: https://MA-Finder.com/2021/83713
If a person wishes to see more coverage information, they can click on the Medicare Advantage plan's name
or the “Sanctioned Plan” button and they will be shown the plan benefit details along with another large dark red box with the message: "This Plan is currently sanctioned and is not accepting enrollments".
Within the dark red rectangle on the plan details page, the user is also provided with a link to the Q1Medicare news article about the actual CMS sanction
, in this case: “CMS Notice of Enrollment Suspension for Medicare Advantage-Prescription Drug Contract Number H1302 (Blue Cross of Idaho Care Plus, Inc.) for plan year 2021” (please see: Q1News.com/849
The Q1News article also provides a link to the actual CMS letter that was sent to the plan.
The Medicare.gov Plan Finder also provides sanctioned plan information after you click on the "View sanctioned plans" link found at the bottom of the plan summary page. However, as of April 29, 2021, Medicare only shows basic plan contact information and a link to the sanctions letter from CMS. Plan coverage information for current members of the sanctioned Medicare plan is not provided.
Reminder about Special Enrollment Period (SEP) that may be available to members of sanctioned Medicare plans.
SEP is available
to members of a sanctioned Medicare plan if they can show
that they were affected by plan practices that were at issue in the
, please speak with a Medicare representative
(1-800-633-4227). Again, this SEP is not automatically granted and is
considered on a case-by-case basis.
CMS, "Notice of Enrollment Suspension for Medicare Advantage-Prescription Drug Contract Number H1302", September 9, 2020,